Active NPI
Jennifer Aiello Jesko, D.D.S.
- General Practice Dentistry
- Kyle, TX
National Provider Identifier
1407300353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39231
- Practice address
- 20389 Interstate 35 Ste 200
Kyle, TX 78640-2039 - Phone
- (512) 256-8754
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 30.025250 | OH | |
| General Practice Dentistry | 1223G0001X | 39231 | TX | Primary |
Addresses
Primary practice location
20389 Interstate 35 Ste 200
Kyle, TX 78640-2039
Mailing address
20389 Interstate 35 Ste 200
Kyle, TX 78640-2039
Phone (512) 256-8754
Other practice location 1
1714 Burrstone Rd
New Hartford, NY 13413-1002
Phone (315) 624-6247
Other practice location 2
38530 Lakeshore Blvd
Willoughby, OH 44094
Phone (440) 946-1650
Other names 1
- Jennifer Grace Aiello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39231 | TX | MD | Clinical Neuropsychologist |
| 30.025250 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brush32 Dental of Kyle PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Kyle, TX
- NPI 1578912630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1407300353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20389 INTERSTATE 35 STE 200",
"city": "KYLE",
"state": "TX",
"postal_code": "786402039",
"telephone_number": "512-256-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20389 INTERSTATE 35 STE 200",
"city": "KYLE",
"state": "TX",
"postal_code": "786402039",
"telephone_number": "512-256-8754"
}
],
"practiceLocations": [
{
"address_1": "1714 Burrstone Rd",
"address_purpose": "LOCATION",
"city": "New Hartford",
"state": "NY",
"postal_code": "134131002",
"country_code": "US",
"telephone_number": "315-624-6247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38530 Lakeshore Blvd",
"address_purpose": "LOCATION",
"city": "Willoughby",
"state": "OH",
"postal_code": "44094",
"country_code": "US",
"telephone_number": "440-946-1650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESKO",
"first_name": "JENNIFER",
"middle_name": "AIELLO",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30.025250",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "AIELLO",
"middle_name": "GRACE",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.